| NPI | 1891225249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MADSEN Owner 801-520-5724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8003723-3501) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2018-06-16 |